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KIMBERLY LAKE BA, CAAR
NPI 1811472277
Counselor in Longview, WA

Active since October 01, 2018
720 14TH AVENUE, LONGVIEW, WA 98632(360) 423-0203(360) 423-2311 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2019, Oct 1, 2018 (2 updates tracked since 2018).

About Kimberly Lake Ba, Caar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY LAKE BA, CAAR (NPI 1811472277) is an individual counselor in Longview, Washington, licensed in Washington (608708781) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1811472277
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY LAKECredential: BA, CAAR
Location Address720 14TH AVENUELongview, WA 98632
Mailing AddressPo Box 1847Longview, WA 98632 · (360) 423-0203 · Fax (360) 577-0269
Phone(360) 423-0203
Fax(360) 423-2311
Sole ProprietorNo
Enumeration DateOctober 1, 2018
Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration
✔ NPI 1811472277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · 608708781
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
720 14TH AVENUE, Longview, WA 98632
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Other Names 1

Former Name (1)Kimberly Hawkins

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSTANCE SHAMP
Counselor (Mental Health)
720 14TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
SAMANTHA TAYLOR
Counselor (Mental Health)
720 14TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
JOSH IPOCK CAAR
Counselor
720 14TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
CHRISTINA MARIE FLOHR LMP
Counselor
720 14TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
REBECCA GLOSE LCSW
Social Worker (Clinical)
720 14TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
KALA JOHNSON
Registered Nurse
720 14TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 353-9840
MRS. EMILY SEAMAN
Counselor
720 14TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
MRS. JAYME NICOLE CULLETT
Counselor (Mental Health)
720 14TH AVENUE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Lake's NPI number?

The NPI number for Kimberly Lake is 1811472277. It was assigned to this individual provider in the NPPES registry on October 1, 2018. The provider is also known as Kimberly Hawkins.

Where is Kimberly Lake located?

Kimberly Lake practices at 720 14th Avenue, Longview, WA 98632. The listed phone number is (360) 423-0203.

What is Kimberly Lake's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Lake was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.